Organization
BLYTHE AMBULANCE SERVICE
Active
Organization
BLYTHE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOSEPH DORN (CHIEF ADMINISTRATIVE OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
129 S 1ST ST, BLYTHE, CA 92225-2518
(760) 922-8460
(760) 883-5011
Mailing address
PO BOX 55418, LOS ANGELES, CA 90074-5418
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
A125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070384
—
AZ
05
—
1407864341
—
CA
Enumeration date
08/04/2006
Last updated
09/15/2025
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